Individual
JUAN CARLOS LOPEZ CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
2080 CENTURY PARK E STE 405, LOS ANGELES, CA 90067-2007
(310) 553-2695
Mailing address
13648 GAGER ST, PACOIMA, CA 91331-3811
(818) 414-0429
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5104
CA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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